PADMAVATHI TUMMALA PA-C
NPI 1992125116
Physician Assistant in Huntington, IN

Active since April 27, 2014PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
2708 GUILFORD ST, HUNTINGTON, IN 46750(260) 355-3900(260) 355-3079 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2022, Jun 10, 2022, Jul 12, 2021 and 1 more (4 updates tracked since 2018).

About Padmavathi Tummala Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PADMAVATHI TUMMALA PA-C (NPI 1992125116) is an individual physician assistant in Huntington, Indiana, licensed in Indiana (10001516A) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1992125116
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePADMAVATHI TUMMALACredential: PA-C
Location Address2708 GUILFORD STHuntington, IN 46750
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 355-3079
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 27, 2014
Last NPPES UpdateOctober 11, 20224 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
NPI 1992125116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10001516A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2708 GUILFORD ST, Huntington, IN 46750

Other Identifiers 1

Medicaid10001516AIN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Padmavathi Tummala Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072863828
PECOS Enrollment IDI20180829001785
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
193 services184 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
44 services43 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
26 services26 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46750 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2708 GUILFORD ST
HUNTINGTON, IN 46750
Family Medicine
2708 GUILFORD ST
HUNTINGTON, IN 46750
Nurse Practitioner
2708 GUILFORD ST
HUNTINGTON, IN 46750
Physician Assistant
2708 GUILFORD ST
HUNTINGTON, IN 46750
Family Medicine
2708 GUILFORD ST
HUNTINGTON, IN 46750
Nurse Practitioner (Family)
2708 GUILFORD ST
HUNTINGTON, IN 46750
Family Medicine
2708 GUILFORD ST
HUNTINGTON, IN 46750
Family Medicine
2708 GUILFORD ST
HUNTINGTON, IN 46750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Padmavathi Tummala's NPI number?

The NPI number for Padmavathi Tummala is 1992125116. It was assigned to this individual provider in the NPPES registry on April 27, 2014.

Where is Padmavathi Tummala located?

Padmavathi Tummala practices at 2708 Guilford St, Huntington, IN 46750. The listed phone number is (260) 355-3900.

What is Padmavathi Tummala's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Padmavathi Tummala enrolled in Medicare?

Yes. Padmavathi Tummala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Padmavathi Tummala accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Padmavathi Tummala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Padmavathi Tummala affiliated with any hospitals?

According to CMS data, Padmavathi Tummala is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Padmavathi Tummala was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.